Job Responsibilities
1. Maintain a caseload of participants under the Community Health Choices waiver.
2. Complete Comprehensive Needs Assessment and Person-Centered service plan development for participants assigned under to caseload.
3. Maintain and monitor participants services through regular monitoring as outlined by the respective Managed Care Organization or OLTL.
4. Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the participant to provide for seamless coordination between physical, behavioral and support services
5. Assist participants in obtaining HCBS services that will support independent living
6. Assist the participant and his or her PCPT in identifying and choosing willing and qualified Providers
7. Collect additional necessary information, including, at a minimum: Participant preferences, strengths, and goals to inform the development of the PCSP
8. Conducts reevaluation of level of care annually or more frequently as needed
9. Explores coverage of services to address participants identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance and other community resources
10. Identify, coordinate and assist participants in gaining access to needed LTSS and Medical Assistance services, as well as non-Medicaid funded medical, social, housing, educational, and other services and supports
11. Informing participants about available LTSS, required assessments, the Person t-centered service planning process, service alternatives, service delivery options including opportunities for Self -direction, roles, rights including DHS Fair Hearing rights, risks and responsibilities, and to assist with fair hearing requests when needed and requested, and to protect a Participants health, welfare and quality on on-going basis
12. Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs
13. Providing information to participants and facilitating access, coordinating and monitoring LTSS needs for participants
14. Works with the participant to complete activities necessary to maintain LTSS eligibility
15. Identifies and mobilizes informal and formal resources and supports to meet participant needs.
16. Identifies and maximizes use of third-party payers.
17. Follows up with providers to ensure successful delivery of services as approved by the MCO/OLTL.
18. Participates in mandatory trainings and monthly in-services and attends regularly scheduled supervision and staff meetings.
19. Monitors participant satisfaction to ensure quality of services provided.
20. Participates in State mandated, MCO and PCC trainings (such as, acronyms, proper transfer techniques, standard precautions, communicable diseases, avoiding injuries at work, disability-related trainings)
21. Report abuse, neglect, exploitation, or other inappropriate activity to internal and external parties per federal, and State guidelines.
22. Other duties as needed.
Qualifications
• Bachelor's degree required in Human Services / Social Services field. Master's preferred or,
• A combination of experience and training which adds up to 4 years of experience and education which includes 12 college credits in sociology, social work, social welfare, psychology, gerontology or another behavioral science required.
• Minimum 2 years' experience in human services/case management preferred.
• Knowledge of Community Health Choices preferred.
• Proficient in MS Office applications with emphasis on Excel
• Ability to organize multiple tasks in a timely manner.
• Travel throughout Philadelphia and/or surrounding counties is required up to 50% per week.
• Bilingual/Multilingual a plus.